Tooth Erosion and Eating Disorders: A Systematic Review and Meta-Analysis
Publication Date
November 07, 2014
Journal
PLOS ONE
Authors
Ana Paula Hermont, Patrícia A. D. Oliveira, Carolina C. Martins, Saul M. Paiva, et al
Volume
9
Issue
11
Pages
e111123
DOI
https://dx.plos.org/10.1371/journal.pone.0111123
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0111123
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/25379668
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224381
Europe PMC
http://europepmc.org/abstract/MED/25379668
Web of Science
000344863100019
Scopus
84915760735
Mendeley
http://www.mendeley.com/research/tooth-erosion-eating-disorders-systematic-review-metaanalysis-4
Events
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Mendeley | Further Information

{"title"=>"Tooth Erosion and Eating Disorders: A Systematic Review and Meta-Analysis", "type"=>"journal", "authors"=>[{"first_name"=>"Ana Paula", "last_name"=>"Hermont"}, {"first_name"=>"Patrícia A. D.", "last_name"=>"Oliveira"}, {"first_name"=>"Carolina C.", "last_name"=>"Martins"}, {"first_name"=>"Saul M.", "last_name"=>"Paiva"}, {"first_name"=>"Isabela A.", "last_name"=>"Pordeus"}, {"first_name"=>"Sheyla M.", "last_name"=>"Auad"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"1932-6203", "pmid"=>"25379668", "doi"=>"10.1371/journal.pone.0111123", "isbn"=>"1932-6203"}, "id"=>"e64f0a4a-f8c1-370c-a9ff-cd4c7113fac3", "abstract"=>"BACKGROUND Eating disorders are associated with the highest rates of morbidity and mortality of any mental disorders among adolescents. The failure to recognize their early signs can compromise a patient's recovery and long-term prognosis. Tooth erosion has been reported as an oral manifestation that might help in the early detection of eating disorders. OBJECTIVES The aim of this systematic review and meta-analysis was to search for scientific evidence regarding the following clinical question: Do eating disorders increase the risk of tooth erosion? METHODS An electronic search addressing eating disorders and tooth erosion was conducted in eight databases. Two independent reviewers selected studies, abstracted information and assessed its quality. Data were abstracted for meta-analysis comparing tooth erosion in control patients (without eating disorders) vs. patients with eating disorders; and patients with eating disorder risk behavior vs. patients without such risk behavior. Combined odds ratios (ORs) and a 95% confidence interval (CI) were obtained. RESULTS Twenty-three papers were included in the qualitative synthesis and assessed by a modified version of the Newcastle-Ottawa Scale. Fourteen papers were included in the meta-analysis. Patients with eating disorders had more risk of tooth erosion (OR = 12.4, 95%CI = 4.1-37.5). Patients with eating disorders who self-induced vomiting had more risk of tooth erosion than those patients who did not self-induce vomiting (OR = 19.6, 95%CI = 5.6-68.8). Patients with risk behavior of eating disorder had more risk of tooth erosion than patients without such risk behavior (Summary OR = 11.6, 95%CI = 3.2-41.7). CONCLUSION The scientific evidence suggests a causal relationship between tooth erosion and eating disorders and purging practices. Nevertheless, there is a lack of scientific evidence to fulfill the basic criteria of causation between the risk behavior for eating disorders and tooth erosion.", "link"=>"http://www.mendeley.com/research/tooth-erosion-eating-disorders-systematic-review-metaanalysis-4", "reader_count"=>15, "reader_count_by_academic_status"=>{"Student > Doctoral Student"=>1, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>2, "Student > Master"=>6, "Student > Bachelor"=>4}, "reader_count_by_user_role"=>{"Student > Doctoral Student"=>1, "Researcher"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>2, "Student > Master"=>6, "Student > Bachelor"=>4}, "reader_count_by_subject_area"=>{"Materials Science"=>1, "Medicine and Dentistry"=>12, "Agricultural and Biological Sciences"=>1, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>12}, "Social Sciences"=>{"Social Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1784416"], "description"=>"<p>Four-phase PRISMA flow-diagram for study collection <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0111123#pone.0111123-Moher1\" target=\"_blank\">[38]</a>, showing the number of studies identified, screened, eligible, and included in the review and meta-analysis.</p>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1232998, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111123.g001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Screening_of_articles_/1232998", "title"=>"Screening of articles.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-07 03:52:50"}
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  • {"files"=>["https://ndownloader.figshare.com/files/1784419"], "description"=>"<p>Eating disorders were analyzed in subgroups according to each type of ED. Heterogeneity: I<sup>2</sup> = 0.0% (Anorexia subgroup), I<sup>2</sup> = 44.0% (Bulimia subgroup), I<sup>2</sup> = 0.0% (Bulimia with SIV subgroup), I<sup>2</sup> = 0.0% (Bulimia without SIV subgroup), I<sup>2</sup> = 0.0% (EDs subgroup), random effect model used.</p>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1233001, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111123.g003", "stats"=>{"downloads"=>0, "page_views"=>23, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Meta_analysis_of_nine_case_control_studies_showing_twelve_different_outcomes_associating_tooth_erosion_with_types_of_eating_disorders_EDs_with_or_without_self_induced_vomiting_SIV_vs_controls_/1233001", "title"=>"Meta-analysis of nine case-control studies showing twelve different outcomes associating tooth erosion with types of eating disorders (EDs) with or without self-induced vomiting (SIV) vs. controls.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-07 03:52:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/1784420"], "description"=>"<p>Meta-analysis of two cross-sectional studies associating tooth erosion with eating disorder risk behavior (EDs) vs. control groups (patients without eating disorder risk behavior), with statistical significance; I<sup>2</sup> = 11.3%, random effect model used.</p>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1233002, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111123.g004", "stats"=>{"downloads"=>1, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Meta_analysis_of_two_cross_sectional_studies_associating_tooth_erosion_with_eating_disorder_risk_behavior_EDs_vs_control_groups_patients_without_eating_disorder_risk_behavior_with_statistical_significance_I_2_8202_8202_11_3_random_effect_model_used_/1233002", "title"=>"Meta-analysis of two cross-sectional studies associating tooth erosion with eating disorder risk behavior (EDs) vs. control groups (patients without eating disorder risk behavior), with statistical significance; I<sup>2</sup> = 11.3%, random effect model used.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-11-07 03:52:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/1784421"], "description"=>"<p>Not all studies described all variables. Confounders were extracted and described as if they were evaluated in multivariate analysis.</p><p>Quality assessment criteria used for cross-sectional studies through a modified version of Newcastle-Ottawa Scale for case-control studies.</p>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1233003, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111123.t001", "stats"=>{"downloads"=>9, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Quality_assessment_criteria_used_for_cross_sectional_studies_through_a_modified_version_of_Newcastle_Ottawa_Scale_for_case_control_studies_/1233003", "title"=>"Quality assessment criteria used for cross-sectional studies through a modified version of Newcastle-Ottawa Scale for case-control studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-07 03:52:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/1784422"], "description"=>"<p>Quality assessment criteria used for cross-sectional studies through a modified version of Newcastle-Ottawa Scale for observational studies.</p>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1233004, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111123.t002", "stats"=>{"downloads"=>151, "page_views"=>859, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Quality_assessment_criteria_used_for_cross_sectional_studies_through_a_modified_version_of_Newcastle_Ottawa_Scale_for_observational_studies_/1233004", "title"=>"Quality assessment criteria used for cross-sectional studies through a modified version of Newcastle-Ottawa Scale for observational studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-07 03:52:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/1784423"], "description"=>"<p>AN<sup>‡</sup>  =  anorexia nervosa; BN<sup>‡‡</sup>  =  bulimia nervosa; DSM III- R<sup>‡‡‡</sup>  =  Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition, Revised; DSM IV<sup>‡‡‡‡</sup>  =  Diagnostic and Statistical Manual of Mental Disorders, 4th Edition; NR<sup>†</sup>  =  not reported; TE<sup>††</sup>  =  tooth erosion; SIV<sup>†††</sup>  =  self-induced vomiting.</p><p>Case-control studies included in this systematic review presented according to their quality score.</p>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1233005, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111123.t003", "stats"=>{"downloads"=>5, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Case_control_studies_included_in_this_systematic_review_presented_according_to_their_quality_score_/1233005", "title"=>"Case-control studies included in this systematic review presented according to their quality score.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-07 03:52:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/1784424"], "description"=>"<p>AN<sup>‡</sup>  =  anorexia nervosa; BN<sup>‡‡</sup>  =  bulimia nervosa; DSM IV<sup>‡‡‡‡</sup>  =  Diagnostic and Statistical Manual of Mental Disorders, 4th Edition; DSM III<sup>ψ</sup>  =  Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition; DSM IV-R<sup>ψψ</sup>  =  Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Revised; NR<sup>†</sup>  =  not reported; TE<sup>††</sup>  =  tooth erosion; SIV<sup>†††</sup>  =  self-induced vomiting.</p><p>Cross-sectional studies included in this systematic review presented according to their quality score.</p>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1233006, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0111123.t004", "stats"=>{"downloads"=>1, "page_views"=>38, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cross_sectional_studies_included_in_this_systematic_review_presented_according_to_their_quality_score_/1233006", "title"=>"Cross-sectional studies included in this systematic review presented according to their quality score.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-07 03:52:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/1784425", "https://ndownloader.figshare.com/files/1784426"], "description"=>"<div><p>Background</p><p>Eating disorders are associated with the highest rates of morbidity and mortality of any mental disorders among adolescents. The failure to recognize their early signs can compromise a patient's recovery and long-term prognosis. Tooth erosion has been reported as an oral manifestation that might help in the early detection of eating disorders.</p><p>Objectives</p><p>The aim of this systematic review and meta-analysis was to search for scientific evidence regarding the following clinical question: Do eating disorders increase the risk of tooth erosion?</p><p>Methods</p><p>An electronic search addressing eating disorders and tooth erosion was conducted in eight databases. Two independent reviewers selected studies, abstracted information and assessed its quality. Data were abstracted for meta-analysis comparing tooth erosion in control patients (without eating disorders) vs. patients with eating disorders; and patients with eating disorder risk behavior vs. patients without such risk behavior. Combined odds ratios (ORs) and a 95% confidence interval (CI) were obtained.</p><p>Results</p><p>Twenty-three papers were included in the qualitative synthesis and assessed by a modified version of the Newcastle-Ottawa Scale. Fourteen papers were included in the meta-analysis. Patients with eating disorders had more risk of tooth erosion (OR = 12.4, 95%CI = 4.1–37.5). Patients with eating disorders who self-induced vomiting had more risk of tooth erosion than those patients who did not self-induce vomiting (OR = 19.6, 95%CI = 5.6–68.8). Patients with risk behavior of eating disorder had more risk of tooth erosion than patients without such risk behavior (Summary OR = 11.6, 95%CI = 3.2–41.7).</p><p>Conclusion</p><p>The scientific evidence suggests a causal relationship between tooth erosion and eating disorders and purging practices. Nevertheless, there is a lack of scientific evidence to fulfill the basic criteria of causation between the risk behavior for eating disorders and tooth erosion.</p></div>", "links"=>[], "tags"=>["risk behavior", "or", "disorder risk behavior vs", "tooth erosion", "ci"], "article_id"=>1233007, "categories"=>["Uncategorised"], "users"=>["Ana Paula Hermont", "Patrícia A. D. Oliveira", "Carolina C. Martins", "Saul M. Paiva", "Isabela A. Pordeus", "Sheyla M. Auad"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0111123.s001", "https://dx.doi.org/10.1371/journal.pone.0111123.s002"], "stats"=>{"downloads"=>28, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Tooth_Erosion_and_Eating_Disorders_A_Systematic_Review_and_Meta_Analysis_/1233007", "title"=>"Tooth Erosion and Eating Disorders: A Systematic Review and Meta-Analysis", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2014-11-07 03:52:50"}

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